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Open Access 01-12-2018 | Case report

Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound

Authors: Renate Pichler, Gennadi Tulchiner, Fabian Steinkohl, Afschin Soleiman, Wolfgang Horninger, Isabel Maria Heidegger, Friedrich Aigner

Published in: European Journal of Medical Research | Issue 1/2018

Abstract

Background

Adenomatoid tumor is one of the most common histological subtypes of paratesticular cancer arising from the epididymis. In very rare cases, these tumors appear as intratesticular lesions originating in the tunica albuginea, representing a diagnostic challenge.

Case presentation

We present a case of a 51-year-old man with a small (0.9 cm) hyperechoic lesion of the left testicle mimicking testicular cancer on multiparametric ultrasound. The lesion was localized in the peripheral zone, confirming vascularization and increased stiffness on contrast-enhanced ultrasound and real-time elastography. Preoperative tumor markers and hormone levels were within normal ranges. Staging computed tomography was negative. Organ-sparing surgery with tumor enucleation and frozen section analysis was performed, confirming testicular adenomatoid tumor.

Conclusion

Currently, no typical ultrasound features can definitively distinguish intratesticular adenomatoid tumors from malignant testicular masses. Thus, a surgical approach is almost always considered in such a case for both diagnostic and therapeutic purposes.

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Title: Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound
Authors: Renate Pichler
Gennadi Tulchiner
Fabian Steinkohl
Afschin Soleiman
Wolfgang Horninger
Isabel Maria Heidegger
Friedrich Aigner
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: European Journal of Medical Research / Issue 1/2018
Electronic ISSN: 2047-783X
DOI: https://doi.org/10.1186/s40001-018-0301-5

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Adenomatoid tumor of the testis mimicking malignant testicular cancer on multiparametric ultrasound

Abstract

Background

Case presentation

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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